How much rates vary
Facilitymedian $214 · 10th to 90th $141 to $407Professionalmedian $132 · 10th to 90th $100 to $166
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $95.50 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $25.12 | Professional | 26 · Professional part | $19.95 | $23.99 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $75.86 | $95.50 | $95.50 |
BCBS Michigan Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $354.81 | Facility | None | $141.25 | $208.93 | $354.81 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $31.62 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $31.62 | $162.18 | $162.18 |
BCBS Michigan Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $79.43 | $181.97 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $14.13 | $32.36 | $50.12 |
Health Alliance Plan Setting Facility Modifier None Typical Low $117.49 Median $269.15 Typical High $295.12 | Facility | None | $117.49 | $269.15 | $295.12 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $100.00 | $117.49 | $165.96 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $19.50 | $25.12 | $31.62 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $91.20 | $131.83 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $95.50 | $151.36 | $257.04 |
United Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,122.02 | Facility | None | $407.38 | $537.03 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $109.65 | $134.90 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $26.30 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $109.65 | $151.36 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $23.99 | $23.99 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $58.88 | $58.88 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $23.44 | $23.44 |
Where Michigan sits
The same service costs 5.1 times more in Alabama than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 39th of 51
$132
AL $479FL $93.33
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.